Szyfter W, Pabiszczak M, Wierzbicka M, Kaczmarek J, Zurawski J
Klinika Otolaryngologii i Onkologii Laryngologicznej Uniwersytetu Medycznego im. Karola Marcinkowskiego w Poznaniu.
Otolaryngol Pol. 2007;61(5):740-3. doi: 10.1016/S0030-6657(07)70516-4.
Neurinoma is the most common tumor of the neurogenic origin. Primary location in the neck with the vagal nerve as a source is very rare clinical situation (less than 100 cases published in the literature). The authors would like to present a case of 35 old men with vagal neurinoma. Main symptoms included painless neck tumor found on palpation. Differential diagnosis included the pedicled cyst and metastatic neck mass. The ultrasound picture was unclear. The intraoperative findings suggested the tumor arising from the vagal nerve. In first day after the surgery hoarseness appeared with paresis of the right vocal cord in the examination. The final histological evaluation revealed neurinoma.
神经鞘瘤是最常见的神经源性肿瘤。以迷走神经为起源的原发性颈部肿瘤是一种非常罕见的临床情况(文献报道不足100例)。作者将介绍一例35岁男性的迷走神经鞘瘤病例。主要症状为触诊时发现无痛性颈部肿块。鉴别诊断包括带蒂囊肿和颈部转移性肿块。超声图像不清晰。术中发现提示肿瘤起源于迷走神经。术后第一天出现声音嘶哑,检查发现右侧声带麻痹。最终组织学评估显示为神经鞘瘤。